Cara Newton, PTA

Individual provider Active NPI Physical Therapy Assistant · Saint James, MO

NPI 1104240720 · NPPES record last updated Feb 18, 2014

Key facts

NPI
1104240720
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2005040400 (MO)
Practice address
620 N Jefferson St
Saint James, MO 65559-1926
Phone
(573) 265-3271
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2005040400MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2005040400 MO Yes

Addresses

Primary practice location

620 N Jefferson St
Saint James, MO 65559-1926

Mailing address

204 N Belle Ave
Belle, MO 65013-3480
Phone (573) 859-3058

Other providers in Saint James, MO

All providers in Saint James, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.